Barker Claire, Taggart Daniel, Gonzalez Marta, Quail Sally, Eglinton Rebekah, Ford Stephanie, Tantam William
IICSA, London, United Kingdom.
School of Health and Social Care, University of Essex, Colchester, United Kingdom.
Front Psychiatry. 2023 Jul 4;14:1177622. doi: 10.3389/fpsyt.2023.1177622. eCollection 2023.
This paper explores how trauma informed training and consultation for non-specialist staff at the Independent Inquiry into Child Sexual Abuse in England and Wales enabled them to work with survivors of non-recent child sexual abuse in the Truth Project and other areas of the Inquiry. The paper draws on data gathered from 32 semi-structured interviews with a range of Inquiry staff, including civil servants, legal professionals, senior operational managers, and researchers. The interview questions mapped on to the trauma informed principles embedded in the Inquiry and considered the efficacy and implementation of this training for engaging with survivors' voices, working with challenging testimonies and materials, and contributing to epistemic change. Findings included all staff having an awareness of what it meant to be trauma informed in an Inquiry context, talking about the principles in terms of value-based positions. Staff described an awareness of needing to attend to the idiosyncratic experiences of the individual survivor, and there was recognition that previous damage to survivor trust, through institutional failure, meant that demonstrating trustworthiness was a central task. Staff talked about the impacts of participation on some survivors, and the impacts it had on them to be exposed to trauma-related materials. There was acknowledgment of the limitations of the trauma informed approach but also recognition of the wider applications of this learning for other areas of their personal and professional lives. There is some support for the therapeutic culture developed at the Inquiry leading to what Fricker refers to as a testimonial sensibility, a quality of listening necessary for the establishment of epistemic justice. The discussion focuses on how this way of working can be applied to other public service settings and how epistemic justice concepts can be included in more traditional trauma informed care models to encourage an ethic of listening that has political and social, in addition to therapeutic, outcomes.
本文探讨了在英格兰和威尔士对儿童性虐待独立调查中，针对非专业工作人员的创伤知情培训和咨询如何使他们能够在“真相计划”及调查的其他领域与非近期儿童性虐待幸存者合作。本文借鉴了对一系列调查人员进行的32次半结构化访谈所收集的数据，这些人员包括公务员、法律专业人员、高级运营经理和研究人员。访谈问题与调查中所蕴含的创伤知情原则相对应，并考虑了这种培训在倾听幸存者声音、处理具有挑战性的证词和材料以及促成认知转变方面的有效性和实施情况。研究结果包括所有工作人员都意识到在调查背景下创伤知情意味着什么，并从基于价值观的立场谈论这些原则。工作人员表示意识到需要关注个别幸存者的独特经历，并且认识到由于机构失误，之前对幸存者信任造成的损害意味着展现出可信赖性是一项核心任务。工作人员谈到了参与对一些幸存者的影响，以及接触与创伤相关材料对他们自身的影响。人们承认创伤知情方法存在局限性，但也认识到这种学习在他们个人和职业生活的其他领域有更广泛的应用。对于调查中形成的治疗文化有一定支持，这种文化导致了弗里克所说的“证言敏感性”，这是建立认知正义所需的一种倾听品质。讨论的重点是这种工作方式如何应用于其他公共服务环境，以及认知正义概念如何纳入更传统的创伤知情护理模式，以鼓励一种除了治疗效果外还具有政治和社会效果的倾听伦理。
